Description

Equimax is a simple and effective worming treatment that treats most major equine worms, such as Tapeworm and bots. In just one single dose, Equimax treats and controls both adult and immature gastro-intestinal Roundworms, Lungworms, Tapeworms and Bots. Using the powerful ingredient Ivermectin, Equimax also contains Praziquantel for one of the most powerful and effective Tapeworm treatment on the market.

Equimax

Presentation

Uses

For the treatment and control of adult and immature gastrointestinal roundworms, lungworms, bots and tapeworms of horses, including:

Large strongyles

Strongylus vulgaris adults and 4th larval (arterial) stages

Strongylus edentatus adults and 4th larval (tissue) stages

Strongylus equinus adults

Triodontophorus spp adults

Small strongyles, adults

Cyathostomum spp.

Cylicocyclus spp.

Cylicodontophorus spp.

Cylicostephanus spp.

Gyalocephalus spp.

Hairworms

Trichostrongylus axei adults

Pinworms

Oxyuris equi adults and immatures

Ascarids

Parascaris equorum adults and immatures

Intestinal threadworms

Strongyloides westeri adults

Large-mouth stomach worms

Habronema muscae adults

Neck threadworms

Onchocerca spp. (microfilariae)

Lungworms

Dictyocaulus arnfieldi adult and immature

Stomach bots

Gasterophilus spp. oral and gastric larval stages

Tapeworms

Anoplocephala perfoliata

Anoplocephala magna

Paranoplocephala mamillana

Dosage and administration

Equimax Oral Paste for Horses is given by mouth at the recommended dose rate of 200 micrograms of ivermectin and 1.5mg of praziquantel per kg of bodyweight as a single dose, corresponding to 1.07g of paste per 100kg bodyweight. The first syringe division delivers sufficient paste to treat 100kg of bodyweight. Each subsequent syringe division delivers sufficient paste to treat 50kg of bodyweight. The syringe delivers sufficient paste to treat 700kg bodyweight at the recommended dose rate.

The horse’s weight should be accurately determined to ensure use of the correct dose of product.

Before administration adjust the syringe to the calculated dosage by setting the ring on the plunger.

Weight

Dosage

Weight

Dosage

Up to 100kg

1.070g paste

401-450kg

4.815g paste

101-150kg

1.605g paste

451-500kg

5.350g paste

151-200kg

2.140g paste

501-550kg

5.885g paste

201-250kg

2.675g paste

551-600kg

6.420g paste

251-300kg

3.210g paste

601-650kg

6.955g paste

301-350kg

3.745g paste

651-700kg

7.49g paste

351-400kg

4.280g paste

The animal’s mouth must be free of food. The syringe should be placed between the front and back teeth and the paste deposited at the base of the tongue. Immediately elevate the head for a few seconds to ensure that the product is swallowed. Treatment is recommended at least twice a year, in spring and autumn or according to veterinary advice. Intermediate roundworm treatment is advisable.

Contra-indications, warnings, etc

For animal treatment only.

Not to be used in foals under two weeks of age.

Some horses carrying heavy infection of Onchocerca microfilariae have experienced reactions with swelling and itching after treatment. It is assumed to be the result of death of large numbers of microfilariae.

These signs resolve within a few days but symptomatic treatment may be advisable.

Equimax Oral paste for Horses has been formulated specifically for use in horses. Dogs and cats may be adversely affected by the concentration of ivermectin in this product, if they are allowed to ingest spilled paste or have access to used syringes.

As ivermectin is extremely dangerous to fish and aquatic life, treated animals should not have direct access to surface water and ditches during treatment.

Wash hands after use.

Avoid eye contact.

Do not smoke or eat while handling the product.

Withdrawal period

Horses may be slaughtered for human consumption only after 35 days from the last treatment.

Container disposal

Any unused product or waste material should be disposed of in accordance with local requirements. Ivermectin is EXTREMELY DANGEROUS TO FISH AND AQUATIC LIFE. Do not contaminate surface water or ditches with the product or used containers.

Pharmaceutical precautions

Keep out of the reach of children. Store below 30° C. Part-used syringes should be stored below 25° C.

Following withdrawal of the first dose, use the product within 6 months.

Legal category

Packaging Quantities

Further information

Studies in other species showed no teratogenic or embryotoxic effect from either ivermectin or praziquantel at the recommended doses during therapy.

A tolerance study performed in foals from 2 weeks of age with doses up to 5 times the recommended dosage showed no adverse reactions.

Safety studies conducted with Equimax administered to mares at 3 times the recommended dosage at 14 day intervals during the whole gestation and lactation did not show any abortions, any adverse effects on the gestation, parturition and on the mares general health, nor any abnormalities on the foals.

Safety studies conducted with Equimax administered to stallions at 3 times the recommended dosage did not show any adverse effects in particular on the reproductive performances.

Marketing authorisation number

Vm 16971/4004.

Equimax Tabs

Presentation

White, circular, biconcave tablet with brown spots.

Each chewable tablet of 3300 mg contains:

Ivermectin 20mg

Praziquantel 150mg

Uses

For the treatment of mixed cestode, nematode and arthropod infestations, due to adult and immature roundworms, lungworms, bots and tapeworms in horses:

Pinworms

Hairworms

Cestodes ( Tapeworm)

As tapeworm infestation is unlikely to occur in horses before two months of age, treatment of foals below this age is not considered necessary.

Stomach Bots

Gasterophilus spp. (larvae).

Dosage and administration

Single oral administration.

200 µg of ivermectin and 1.5 mg of praziquantel per kg of bodyweight corresponding to 1 tablet per 100 kg bodyweight.

To ensure a correct dosage, body weight should be determined as accurately as possible.

Weight

Dosage

up to 100 kg

1 tablet

101 - 200 kg

2 tablets

201 - 300 kg

3 tablets

301 - 400 kg

4 tablets

401 - 500 kg

5 tablets

501 - 600 kg

6 tablets

601 - 700 kg

7 tablets

701 - 800 kg

8 tablets

Once the correct dose has been determined, it should be administered in the following way:

Present the tablet in the palm of your hand. Repeat this gesture until the complete dose has been administered. During the initial administration, the tablet can be combined with a small amount of food or a treat to increase the acceptance by the horse.

In the event that the required dose is not ingested an alternative treatment should be administered. Seek the advice of your veterinary practitioner.

Advice regarding appropriate dosing programmes and stock management should be sought to achieve adequate parasite control for both tapeworm and roundworm infestations.

Contra-indications, warnings, etc

For animal treatment only.

Do not use in foals under 2 weeks of age.

Do not use in mares from which milk is taken for human consumption.

Do not use in horses known to be hypersensitive to the active ingredients or any of the other ingredients.

Special warnings for target species

Care should be taken to avoid the following practices because they increase the risk of development of resistance and could ultimately result in ineffective therapy:

-too frequent and repeated use of anthelmintics from the same class over an extended period of time,

-underdosing, which may be due to underestimation of body weight, misadministration of the product, or lack of calibration of the dosing device (if any).

Suspected clinical cases of resistance to anthelmintics should be further investigated using appropriate tests (e.g. Faecal Egg Count Reduction Test). Where the results of the test(s) strongly suggest resistance to a particular anthelmintic, an anthelmintic belonging to another pharmacological class and having a different mode of action should be used.

Resistance to ivermectin has been reported in Parascaris equorum in horses in a number of countries including ones in the EU. Therefore the use of this product should be based on national (regional, farm) epidemiological information about susceptibility of nematodes and recommendations on how to limit further selection for resistance to anthelmintics

The product can be used safely in stallions.

Can be used during pregnancy and lactation.

Special precautions for use in animals

Avermectins may not be well tolerated in all non target species. Cases of intolerance are reported in dogs, especially Collies, Old English Sheepdogs and related breeds or crosses, and also in turtles and tortoises.

Dogs and cats should not be allowed to ingest spilled tablets or have access to used packaging due to the potential for adverse effects related to ivermectin toxicity.

Operator Warnings

Wash hands after use. Avoid contact with the eyes. In case of eye irritation, seek medical attention. Do not eat, drink or smoke while handling this product. Keep out of the reach of children. In the event of accidental ingestion, seek medical advice and show the leaflet to the physician so that he knows what you have taken.

Adverse reactions

Colic, diarrhoea and anorexia have been reported in very rare occasions post treatment, in particular when there is heavy worm burden. In very rare occasions, allergic reactions such as hypersalivation, lingual oedema and urticaria, tachycardia, congested mucus membranes, and subcutaneous oedema have been reported following treatment with the product.

Withdrawal Period

Horses may be slaughtered for human consumption only after 35 days from the last treatment. Not to be used in horses producing milk for human consumption

Container Disposal

Any unused veterinary medicinal product or waste materials derived from such veterinary medicinal products should be disposed of in accordance with national requirements. EXTREMELY DANGEROUS TO FISH AND AQUATIC LIFE. Do not contaminate surface waters or ditches with the product or used container.

Pharmaceutical precautions

Keep out of reach and sight of children. Do not store above 30°C

Shelf life of the veterinary medicinal product as packaged for sale : 18 months

Legal category

Packaging Quantities

Further information

No known interaction with other equine medicaments.

A tolerance study performed in foals with doses up to 5 times the recommended dosage did not show any adverse reactions.

Safety studies conducted with a similar veterinary medicinal product (EQUIMAX oral gel) administered to mares at 3 times the recommended dosage at 14-day intervals during the whole gestation and lactation periods did not result in any abortions, nor any adverse effects during gestation, at parturition or on the mares general health, nor any abnormalities in the foals.

Safety studies conducted with a similar veterinary medicinal product (EQUIMAX® oral gel) administered to stallions at 3 times the recommended dosage did not show any adverse effects in particular on the reproductive performances.

Marketing authorisation number

Vm05653/4142.

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Combined wormer

I've been advised based on worm egg count to use combined wormer, is this suitable for this time of year?

Sophie Wilkinson

Veterinary Surgeon

Yes Equimax is a good choice for this time of year. It contains Ivermectin and Praziquantel and will treat redworm and tapeworm. It would be a good idea to treat with Equest or Panacur in late December for encysted red worm larvae.

What worms this product covers

9th Oct 2016

Janet Turner

VioVet Customer Since: September 2016

From: , United Kingdom

does this product also cover red worm ?... can see this does cover roundworm, lungworm, Bots and tapeworm but for redworm would I need a different type of wormer, thanks

Sophie Wilkinson

Veterinary Surgeon

Ivermectin (one of the active ingredients of Equimax) is effective against adult red worm. However during the winter redworm larvae become encysted in the wall of the intestine. Ivermectin is not effective against the encysted redworm so you should use Equest (Moxidectin) or Panacur (Fenbendazole) over the winter to treat encysted redworm. However at this time of year the larvae will not yet be encysted so Equimax is ideal as it will treat tapeworm also.

Turnout

20th Sep 2016

Catherine Hobbs

VioVet Customer Since: March 2016

From: Warwickshire, United Kingdom

Can i turn my horse out after giving them Equimax?

Sophie Wilkinson

Veterinary Surgeon

Yes that is fine. There is no evidence to suggest that keeping horses in after worming is beneficial. The best way to control worms is to allow normal turn-out routines and poo pick the paddocks regularly.

Age

4th Mar 2016

Mel

Which wormer is safest to use on an old pony (40+) that has not many teeth and not been on a regular worming plan?
Thank you

John Cousins BVSc MRCVS

Veterinary Surgeon

Most modern wormers are very safe and so this is not really a great concern. Having said that, Panacur is sometimes regarded as one of the mildest, least potentially toxic wormers, so you could try that. Have you tested for worm eggs on a dung sample? Some older horses need very little worming anyway?

Horse has only taken partial dose of Equimax tablets

22nd Oct 2014

Jean

I only managed to get my horse to eat 4 of the 6 tablets he needed. Is it best to try to get him to take the other two the next day or wait for a period, do a worm count and then if necessary use a different product?

John Cousins BVSc MRCVS

Veterinary Surgeon

I would go for your second suggestion. The lower dose might have been adequately effective. If not, you are more likely to encourage ivermectin resistant parasites by repeating the same product so soon. If an egg count demonstrates a significant mature worm infestation then a different product would be my suggestion. (Tapeworms do not show on egg counts so if you are worried about this a blood test could be done. Tapes are not usually a big concern and the lower dose given might well be effective for them anyway - they are easily killed off by the praziquantel in the wormer.

Period between doses

18th Jun 2014

Jan Bottomley

Hi

Can anyone tell me the time period between doses, ie once they have been dosed with this wormer, when are they next due to be wormed with another wormer, I cant find any information about this?

Danielle Cousins BSc Hons, E-SQP

Category Manager, Own Brand & E-SQP

Equimax is ideal for worming in spring and autumn to cover tapeworm and a wide range of roundworm and bots.

If your horse is over 6 years old, they should have built up a natural immunity to most adult roundworm and may not need worming over summer. We would recommend that you carry out a faecal egg count to see if they need treating- it is a cheap and you can buy the kit needed here and then you send it off in a pre-paid envelope.

In winter, it is recommended that you target encysted small redworm larvae, which do not show up on these faecal egg counts. Target these in winter with a single dose of either a moxidectin product or a five day course of a fenbendazole product to prevent mass emergence in spring.

Approach to worming has changed in recent years due to worms building a resistance to the chemicals used, so each horse would ideally be treated based on their individual needs.

We have a guide to worming your horse (with an example worming plan) if you would like to read more about the topic, and feel free to contact me for further information.